NPIMap

Organization Active NPI

Baker Victory

  • Early Intervention Provider Agency
  • Lackawanna, NY
National Provider Identifier
1982969465
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1127815 Issued in NY
Legal business name
BAKER VICTORY
Practice address
697 Ridge Rd
Lackawanna, NY 14218-1500
Phone
(716) 822-4781
Fax
(716) 825-5765
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Povinelli
Title
Special Education Therapist
Phone
(716) 909-5662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1127815 NY Primary

Addresses

Primary practice location

697 Ridge Rd
Lackawanna, NY 14218-1500

Mailing address

697 Ridge Rd
Lackawanna, NY 14218-1500
Phone (716) 822-4781

Other names 1

  • ChildPro Other name

National Provider Directory

National Provider Directory
Tax ID family
Baker Victory2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

697 Ridge Rd
Lackawanna, NY 14218
Phone (716) 822-4781

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1982969465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181500",
            "telephone_number": "716-822-4781",
            "fax_number": "716-825-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181500",
            "telephone_number": "716-822-4781",
            "fax_number": "716-825-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER VICTORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "POVINELLI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SPECIAL EDUCATION THERAPIST",
        "authorized_official_telephone_number": "716-909-5662"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1127815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChildPro",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lackawanna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.